Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,000.90 / $5,132.00 / $22,024.00	Facility		$2,000.90	$5,132.00	$22,024.00
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $2,256.67 / $19,823.93 / $38,781.51	Facility		$2,256.67	$19,823.93	$38,781.51
Asuris Northwest Health Facility/Professional Facility Modifier AS Low / Median / High Price $1,134.79 / $1,887.52 / $1,887.52	Facility	AS	$1,134.79	$1,887.52	$1,887.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,285.42 / $8,315.84	Facility		$2,000.00	$2,285.42	$8,315.84
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $1,694.11 / $3,465.26 / $7,292.72	Facility		$1,694.11	$3,465.26	$7,292.72
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $2,335.34 / $3,101.62 / $3,308.46	Facility		$2,335.34	$3,101.62	$3,308.46
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,173.66 / $2,186.17 / $6,526.97	Facility		$2,173.66	$2,186.17	$6,526.97
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,146.66 / $20,262.22 / $38,781.51	Facility		$13,146.66	$20,262.22	$38,781.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,028.00 / $5,547.00 / $19,271.00	Facility		$3,028.00	$5,547.00	$19,271.00